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[针灸治疗膝关节骨关节炎]

[Osteoarthritis of knee joint treated with acupuncture and moxibustion].

作者信息

Zhang Qian-Ru, Fu Wen-Bin

机构信息

Acupuncture-Moxibustion Department of Zhuhai Hospital Affiliated to Guangdong Hospital of TCM, Zhuhai 519015, China.

出版信息

Zhongguo Zhen Jiu. 2010 May;30(5):375-8.

PMID:20518172
Abstract

OBJECTIVE

To compare the clinical efficacy of osteoarthritis of knee joint treated by acupuncture and moxibustion and simple acupuncture.

METHODS

Sixty-two cases were randomized into an observation group (32 cases) and a control group (30 cases). In the observation group, acupuncture and non-scarring moxibustion were applied. Acupuncture was applied on the local acupoints of knee and moxibustion was performed on Shenshu (BL 23) and Xuehai (SP 10). In the control group, only acupuncture was adopted. The clinical efficacy was observed after 2 courses of treatment. Lysholm knee joint motor function scale, visual analogue scale (VAS) and WHO quality of life (WHOQOL-BREF) were used for the assessment of scores before and after treatment and the statistical analysis of clinical efficacy.

RESULTS

The total effective rate (93.8%, 30/32) in the observation group was superior to that (87.7%, 26/30) in the control group (P < 0.05). The scores in Lysholm knee joint motor function scale and VAS were improved after treatment compared with those before treatment in two groups (P < 0.05, P < 0.01). The degree of improvement in the observation group was superior to that in the control group (P < 0.05, P < 0.01). There was no statistical significance in the scores of WHOQOL-BREF before and after treatment in two groups as well as in intra-group comparison (all P > 0.05).

CONCLUSION

Acupuncture and moxibustion in combination achieve the definite clinical efficacy on osteoarthritis of knee joint and this therapy is superior to simple acupuncture in the improvement of motor function of knee joint and the alleviation of pain.

摘要

目的

比较针灸与单纯针刺治疗膝关节骨性关节炎的临床疗效。

方法

将62例患者随机分为观察组(32例)和对照组(30例)。观察组采用针刺结合非瘢痕灸治疗,针刺膝关节局部穴位,艾灸肾俞(BL 23)和血海(SP 10)。对照组仅采用针刺治疗。治疗2个疗程后观察临床疗效。采用Lysholm膝关节运动功能量表、视觉模拟评分法(VAS)和世界卫生组织生活质量量表(WHOQOL - BREF)对治疗前后的评分进行评估,并对临床疗效进行统计学分析。

结果

观察组总有效率为93.8%(30/32),优于对照组的87.7%(26/30)(P < 0.05)。两组治疗后Lysholm膝关节运动功能量表和VAS评分均较治疗前改善(P < 0.05,P < 0.01),观察组改善程度优于对照组(P < 0.05,P < 0.01)。两组治疗前后WHOQOL - BREF评分及组内比较差异均无统计学意义(均P > 0.05)。

结论

针灸结合治疗膝关节骨性关节炎临床疗效确切,在改善膝关节运动功能和缓解疼痛方面优于单纯针刺治疗。

相似文献

1
[Osteoarthritis of knee joint treated with acupuncture and moxibustion].[针灸治疗膝关节骨关节炎]
Zhongguo Zhen Jiu. 2010 May;30(5):375-8.
2
[Efficacy observation on osteoarthritis of the knee treated with the ultrastructural acupotomy therapy at the counter-Ashi points].[反阿是穴超微针刀疗法治疗膝骨关节炎的疗效观察]
Zhongguo Zhen Jiu. 2012 Jul;32(7):621-4.
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[Evaluation of the clinical effect of knee osteoarthritis treated with moxibustion according to WHOQOL-BREF].[基于世界卫生组织生活质量简表(WHOQOL - BREF)对艾灸治疗膝骨关节炎临床疗效的评估]
Zhongguo Gu Shang. 2009 Nov;22(11):813-5.
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[Treatment of knee osteoarthritis with acupuncture and moxibustion: a randomized controlled trial].[针灸治疗膝骨关节炎:一项随机对照试验]
Zhongguo Zhen Jiu. 2013 Oct;33(10):871-6.
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[Controlled clinical trials of initial observation on therapeutic effects of moxibustion for osteoarthritis of the knee: multi-center clinical effect].艾灸治疗膝骨关节炎疗效的初步观察对照临床试验:多中心临床疗效
Zhongguo Gu Shang. 2009 Dec;22(12):914-6.
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[Observation on the therapeutic effect of warming needle moxibustion on knee osteoarthritis].温针艾灸治疗膝关节骨性关节炎的疗效观察
Zhongguo Zhen Jiu. 2007 Mar;27(3):191-2.
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[Observation on the therapeutic effect of painless festering moxibustion on knee osteoarthritis].[无痛化脓灸治疗膝骨关节炎的疗效观察]
Zhongguo Zhen Jiu. 2007 Jul;27(7):513-5.
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[Frozen shoulder due to cold damp treated with acupuncture and moxibustion on tender points].[温针灸阿是穴治疗寒湿凝滞型肩周炎]
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[Bibliometric analysis of literature on acupuncture and moxibustion for treatment of knee osteoarthritis].[针灸治疗膝骨关节炎文献的计量分析]
Zhongguo Zhen Jiu. 2007 Nov;27(11):862-4.
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[Comparative study of heat-sensitive moxibustion in the treatment of knee osteoarthritis].热敏灸治疗膝关节骨性关节炎的对比研究
Zhongguo Zhen Jiu. 2012 Mar;32(3):229-32.

引用本文的文献

1
Efficacy and safety of acupuncture with moxibustion for knee osteoarthritis: a meta-analysis of randomized controlled trials.针灸联合艾灸治疗膝骨关节炎的疗效与安全性:一项随机对照试验的荟萃分析
Syst Rev. 2025 Jan 16;14(1):15. doi: 10.1186/s13643-025-02762-x.
2
Comparative effectiveness of moxibustion and acupuncture for the management of osteoarthritis knee: A systematic review and meta-analysis.艾灸与针刺治疗膝骨关节炎的比较效果:一项系统评价与荟萃分析。
Heliyon. 2023 Jul 4;9(7):e17805. doi: 10.1016/j.heliyon.2023.e17805. eCollection 2023 Jul.